Ankle Sprain

Ankle sprains represent one of the most devastating injuries in my opinion. Largely because after the pain subsides we return to normal activity or sport unaware of the compensatory movement patterns that were developed following the injury. I have written previously that there are four risk factors for injury. You can find them on our Exercise page. Here they are again:

1. Past Injury
2. Asymmetry
3. Balance
4. Body Mass Index (BMI)

As you can see an ankle injury represents three of the four leading risk factors for injury/re-injury. I found the following abstract (summary) of a research article and wanted to share it with everyone. The abstract has been reproduced in it’s entirety.

The efficacy of adjusting the ankle in the treatment of subacute and chronic grade I and grade II ankle inversion sprains
Justin Edward Pellow DCa and James W. Brantingham DC

Objective: The purpose of this study was to determine the efficacy of adjusting the ankle in the treatment of subacute and chronic grade I and grade II ankle inversion sprains. Design: A single-blind, comparative, controlled pilot study. Setting: Technikon Natal Chiropractic Day Clinic. Participants: Thirty patients with subacute and chronic grade I and grade II ankle inversion sprains. Patients were recruited from the public; they responded to advertisements placed in newspapers and on notice boards around the campus and local sports clubs. Intervention: Each of the 15 patients in the treatment group received the ankle mortise separation adjustment. Each of the 15 patients in the placebo group received 5 minutes of detuned ultrasound treatment. Each participant received a maximum of 8 treatment sessions spread over a period of 4 weeks. Main Outcome Measure: Patients were evaluated at the first treatment, at the final treatment, and at a 1-month follow-up consultation. Subjective scores were obtained by means of the short-form McGill Pain Questionnaire and the Numerical Pain Rating Scale 101. Objective measurements were obtained from goniometer readings measuring ankle dorsiflexion range of motion and algometer readings measuring pain threshold over the ankle lateral ligaments. A functional evaluation of ankle function was also used. Results: Although both groups showed improvement, statistically significant differences in favor of the adjustment group were noted with respect to reduction in pain, increased ankle range of motion, and ankle function. Conclusions: This study appears to indicate that the mortise separation adjustment may be superior to detuned ultrasound therapy in the management of subacute and chronic grade I and grade II inversion ankle sprains. (J Manipulative Physiol Ther 2001;24:17-24)

I’ve found in practice that when an acute ankle sprain (Grade I and II) is adjusted along with Active Release Treatment the athlete can return to play much sooner. If you’ve suffered from an injury and want to see how our unique approach using Gonstead Chiropractic, Active Release Technique and Sports Medicine can help give us a call. 405-757-2079